| NPI | 1760844575 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.019376) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH RN.368085) |
| Enumeration Date | 2016-03-22 |
| Last Update Date | 2016-07-25 |